17-100831 f
Building - Commercial
City of Federal Way Permit #:17-100831-00-CO
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: PRECISION DENTAL CARE
Project Address: 1825 S 324TH PL Parcel Number:250120 0020
Project Description: TI-Tenant improvement to include demolition of existing partition walls to create an office,
replace ceiling tiles and finishes. Plumbing and Mechanical by separate permit
Owner Applicant Contractor Lender
DAVID MACEKAVID LLC BOBBI CHAPMANBQC W R HANSON INC HOMESTREET BANK
1825 S 324TH PL PLANNING&DESIGN 12510 130TH LN NE 3315 S 23RD ST SUITE 100
FEDERAL WAY WA 98003 1321 S LAUREL ST KIRKLAND WA 98034 TACOMA WA 98411
PORT ANGELES WA 98362
Census Category: 437 - Commercial alt/add /conversion
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load: 15.00
Floor Area(sq.ft.) 1,440.00
Additional Permit Information
Occupancy#1-Area(Sq.Feet) 1440 Occupancy#1-Construction Type Type V-B
Mechanical to be Included? No Plumbing Work Valuation 0
Mechanical Work Valuation 0 Number of Stories 1
Is this an Online or O.T.C.application? No Permit for Building Shell Only? No
Plumbing to be Included? No Will Certificate of Occupancy be Issued? No
Occupancy#1-Use Professional Comprehensive Plan Designation Community Business
Services/Offices
Zoning Designation BC
Total Valuation:122,400.00
No'Fix - 00 01 ir ith This Permit ll .
PERMIT EXPIRES Sunday,8 October,2017
Permit Issued on Tuesday,April 11,2017
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of
Washington and the City of Federal Way.
f. �
Owner or agent: r /� Date:
t r
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 111 of the International Building Code or Section
R110 of the International Residential Code is certifying that at the time of issuance,this structure was in
compliance with the various ordinances of the City regulating building construction or use.This certificate is valid
ONLY when endorsed by City staff.
Tenant Name: PRECISION DENTAL CARE Permit# 17-100831-00-CO
Address: 1825 S 324TH PL
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load: 15.00
Floor Area(sq.ft.) 1,440.00
Owner Name: DAVID MACEKAVID LLC
Owner Address: 1825 S 324TH PL
FEDERAL WAY WA 98003
Building Official Date
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which
experience has shown most severely affect the health and safety of the general public. Although the City has made as complete
a review and inspection as is reasonably possible(within budgetary time and personnel limitations), the City neither guarantees
nor warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every
ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon
which it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises.
.._DATE INSPECTOR AREA AND TYPE OF INSPECTION ,
412•111 1444 Pir{-C4I fvztNniN1 — 11-ezet1-414 tit-/Uc. We.lAss 01 1
ssI5751 Ato l (-)8 - eCr Ion cAS 13 Os-
51
Lill-? F-co, ; )411 WA 5(M.," oK -1-o CcxseX1 —^Jo eltc.,
Gk. i 1" wrb Satre vwteA Gti 1t oc.TCove, - 146 C O A AYGfn
4"Y, - -unnwl Arco, c044-(6.
("1-Vii 7 I Fca„.,.`7 �6c,,0 4.r rtzwai,,,; 4..- 5e4-C -r5 014_
li(30I„ � rk" t 4 t-t- WW1; Awl Oreva kliq et. .
-- 1.-CT c w.....-- VI-e-:".l,„ 'c--- 4.cc-„Y►
7—l-- r'I CS ,1 C i4.1 wo., -,,,•, Gawp Priv,4‘.-- e
THIS CARD IS TO REMAIN ON-SITE
CITY OF `' ,
Federal Way Construction Inspection Record
y INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 100831 00 Address: 1825 S 324TH PL
Project: DAVID MACE FEDERAL WAY WA 98003-8505
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible
(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your inspector if
you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
® Initial Erosion Control(4365) 0 Footings/Setback(4110) Q Re-steel(4215)
To be done PRIOR to breaking ground Approved to place concrete Approved to place concrete or grout
By Date By Date By Date
Slab/Concrete Floor(4255) ® Underfloor Framing(4285) ® Floor Sheathing(4105)
Approved to place concrete Approved to sheath floor Approved to install flooring
By Date By Date By Date
f Fire/Draft Stops(4095) ® Interim Erosion Control(4370) P
•, to scheduling a Framing inspection;
Approved Approved Electrical,Plumbing&Mechanical Rough-in
and Fire/Draft Stop inspections must be signed-
By �' 7 1/ � Byoff and approved. IBC 109.3.4
�.� Date Date
® Framing(4120) CI Insulation(4150) I=1 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By : , Date BY }, Date By ;;0a Date
13 Suspended Ceiling Grid(4265) El Final-SKF&R(4060) C4 Final-Planning
Approved to drop tile Approved Approved
By Date By Date By Date
11:1 Final Erosion Control(4375) CI Final-Building(4050)
Approved Approved
By Date Bye ,V Date `'L.cLz. 17
Rough Electrical 0 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
►, i e+ PERMIT APPLICATION
CITAliy. FEBLO��
Federal Y M�/�/ PERMIT CENTER+33325 89,Avenue South+Federal Way,WA 98003-6325
G �yC OFrTY FEDERAL AY 253-835-2607+FAX 253-835-2609+permitcenterr!citvoffederalway.com
CDS"'PERMITNUMBER _ I _ 7
jO
_ _ TARGET DATE
SITE ADDRESS
ARVSUITE/UNIT#
` ✓// t FL p-p et/ o VWAq0cos
PROJECT T ATIO� ZONING TE�#
$ I '''2.- e a ec 5 V 1 v ° _ D O 2 V
J -
TYPE OF PERMITBUILDDING 0 PLUMBING 0 MECHANICAL
�e•0 DEMOLIITIION 0 ENGINEERING/ ,-/ ❑ FIRE PREVENTION
NAME OF PROJECT peC(�1 or'► Y2 l/€-N" ) I.OL1' . �0[ / aC e
PROJECT DESCRIPTION Nilo �, • dal dr' "Z'� r no* . ` i- �n lne4sts iv
Detailed description of work to IVZ M � Sonic minor lion--5/ rttQ ak,,,Qmod_ /7`C7iiisi,
be included on this permit only de� / ` //a tam pv04 f n� cat i . ei ag >— , �/
e%thi ,B CC ' tv P 1/ I_n' 5 �7 SJ/ Z``C-..
PROPERTY OWNER - MAILING ADDRESS
I 6, 2)-I ptc ,,,re,„,a cow
CITY re t me_e
— STATE 1,0490 0 9 T
NAME
PHONE
WI, M4' Z.7-/
C/N et y� Per/4)75 4
-i 2-i
- 67Y
MAILING ADDRESS E-MAIL
I ,6!d / 3O oldie, ,U5 , t)to-hit/73'marilCONTRACTOR CITY J STATE ZIP?
GOA 90 FAX
WA STATE CONTRACTOR'S LICENSE �, EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
6'6 �C,Jt2-H No 251 1 &i at. ' ,Lig- tc.2_1 7-CO- t3I_
NAME PRIMARY PHONE
ft j C'�g/� t " r1'-`7 �a 0- 4//7 7&g
APPLICANT MAILING ADDRESS E-MAIL
CITY ^ STATE ZIP F
POi-Ii-�ei,& tvA-- (79'?-7, a,= -
NAME PRIMARY PHONE
PROJECT CONTACT 5obb, qui I �i�
(The individual to receive and MAILING ADDRESS � ,cy E-MAIL
respond to all correspondence amu/►A a.' i' 1.
concerning this application) CITY STATE ZIP FAX
NAME i
PROJECT FINANCING 'I,C etkirt.. retl 0 OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: L4iriti k. DATE -/ --/7
PRINT NAME: �bf�I alp// tjIii7 n/7
Bulletin#100-January 29,2016 Page/ 1 of 2 k:AHandouts\Permit Application
VALUE OF MECHANICAL WORK
'1 1017HANICAL PERMIT ft/1/2M
3
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING PERMIT 4VALUE OF PLUMBING WORK
—
$
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/utnity) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR � SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
atit v Y�y� aywem
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
,f mU Yes,No ❑Yes No
,iie
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE 0 CARPORT 0
OTHER(describe)
Area Totals EXISTING —
PROPOSED ^ TOTAL
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
NEW BUILDING
ADDITION
'KCOMMERCIAL-REMODEL/TENANT IMPROVEMENTS _
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
TOTAL BUILDING
2,00 P r
TENANT AREA ONLY
I9L7 vcd�
PROJECT AREA ONLY
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application